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Organization

CATHOLIC SOCIAL SERVICES/PASSPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTINA ALDORA LSW (QUALITY ASSURANCE COORDINATOR)
(937) 575-7132
Entity
Organization

Contact information

Practice address
1366 CONSTITUTION AVE, SIDNEY, OH 45365-2216
(937) 507-4212
Mailing address
12635 KIRKWOOD RD, SIDNEY, OH 45365-8101
(937) 710-1765

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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